Sltr-haris Type IV physl fx low end l femr, 7thK

This code signifies a specific growth plate fracture at the bottom of the left thigh bone, where the fracture line extends through both the growth plate and a portion of the bone above and below it. The "subsequent encounter" indicates the patient is receiving ongoing care for this fracture, and "nonunion" means the bone fragments have failed to heal together after a typical healing period.

This code is used when a patient with a previously diagnosed Salter-Harris Type IV physeal fracture of the lower left femur presents for follow-up care, and imaging or clinical assessment confirms that the fracture has not united. This would apply to office visits, hospital outpatient visits, or inpatient stays focused on managing the nonunion, such as planning for revision surgery or monitoring conservative treatment.

• Ensure documentation clearly states "nonunion" and specifies the left femur.
• Verify the encounter is for ongoing treatment of the fracture, not the initial injury.
• Confirm the fracture type is explicitly documented as Salter-Harris Type IV.